Individual provider Active NPI

Dennis Nyaigoti

  • Registered Nurse
  • Elk Grove, CA
National Provider Identifier
1043042245
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95175724 Issued in CA
Practice address
8962 Generations CT
Elk Grove, CA 95758-1238
Phone
(407) 719-9949
NPI assigned
Aug 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95175724 CA Primary

Addresses

Primary practice location

8962 Generations CT
Elk Grove, CA 95758-1238

Mailing address

8962 Generations CT
Elk Grove, CA 95758-1238
Phone (407) 719-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95175724CAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1043042245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8962 GENERATIONS CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957581238",
            "telephone_number": "407-719-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8962 GENERATIONS CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957581238",
            "telephone_number": "407-719-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAIGOTI",
        "first_name": "DENNIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95175724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.